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VALLEY DENTAL-PEDIATRICS, P.C.

Company Details

Name: VALLEY DENTAL-PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 24 Mar 2003 (22 years ago)
Date of dissolution: 23 Dec 2019
Entity Number: 2885825
ZIP code: 13760
County: Broome
Place of Formation: New York
Address: 609 E MAIN STREET, ENDICOTT, NY, United States, 13760

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2018 820571654 2019-09-30 VALLEY DENTAL PEDIATRICS, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 139 JENSEN ROAD, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing MICHELLE K. TUNISON, D.D.S.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2017 820571654 2018-10-13 VALLEY DENTAL PEDIATRICS, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 139 JENSEN ROAD, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2018-10-13
Name of individual signing MICHELLE K. TUNISON, D.D.S.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2016 820571654 2017-07-31 VALLEY DENTAL PEDIATRICS, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing MICHELLE K. TUNISON, D.D.S.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2015 820571654 2016-10-12 VALLEY DENTAL PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing MICHELLE K. TUNISON, D.D.S.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2014 820571654 2015-07-02 VALLEY DENTAL PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Signature of

Role Plan administrator
Date 2015-07-02
Name of individual signing MICHELLE K. TUNISON, D.D.S.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2013 820571654 2014-10-06 VALLEY DENTAL PEDIATRICS, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Signature of

Role Plan administrator
Date 2014-10-06
Name of individual signing MICHELLE K. TUNISON, D.D.S.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2012 820571654 2013-10-14 VALLEY DENTAL PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing GARY W. BIGSBY, D.M.D.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2011 820571654 2012-10-12 VALLEY DENTAL PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Plan administrator’s name and address

Administrator’s EIN 820571654
Plan administrator’s name VALLEY DENTAL PEDIATRICS, P.C.
Plan administrator’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760
Administrator’s telephone number 6077543903

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing GARY W. BIGSBY, D.M.D.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2010 820571654 2011-10-03 VALLEY DENTAL PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Plan administrator’s name and address

Administrator’s EIN 820571654
Plan administrator’s name VALLEY DENTAL PEDIATRICS, P.C.
Plan administrator’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760
Administrator’s telephone number 6077543903

Signature of

Role Plan administrator
Date 2011-10-03
Name of individual signing GARY W. BIGSBY, D.M.D.
Role Employer/plan sponsor
Date 2011-10-03
Name of individual signing GARY W. BIGSBY, D.M.D.
VALLEY DENTAL PEDIATRICS, P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2009 820571654 2010-10-04 VALLEY DENTAL PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6077543903
Plan sponsor’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760

Plan administrator’s name and address

Administrator’s EIN 820571654
Plan administrator’s name VALLEY DENTAL PEDIATRICS, P.C.
Plan administrator’s address 609 EAST MAIN STREET, ENDICOTT, NY, 13760
Administrator’s telephone number 6077543903

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing GARY W. BIGSBY, D.M.D.
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing GARY W. BIGSBY, D.M.D.

Chief Executive Officer

Name Role Address
GARY W. BIGSBY, DMD Chief Executive Officer 609 E MAIN STREET, ENDICOTT, NY, United States, 13760

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 609 E MAIN STREET, ENDICOTT, NY, United States, 13760

History

Start date End date Type Value
2005-05-17 2007-03-23 Address 609 E MAIN ST, ENDICOTT, NY, 13760, USA (Type of address: Chief Executive Officer)
2005-05-17 2007-03-23 Address 609 E MAIN ST, ENDICOTT, NY, 13760, USA (Type of address: Principal Executive Office)
2003-03-24 2007-03-23 Address 609 EAST MAIN STREET, ENDICOTT, NY, 13760, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191223000427 2019-12-23 CERTIFICATE OF DISSOLUTION 2019-12-23
130404002429 2013-04-04 BIENNIAL STATEMENT 2013-03-01
110323002403 2011-03-23 BIENNIAL STATEMENT 2011-03-01
090224002825 2009-02-24 BIENNIAL STATEMENT 2009-03-01
070323002546 2007-03-23 BIENNIAL STATEMENT 2007-03-01
050517002424 2005-05-17 BIENNIAL STATEMENT 2005-03-01
030324000366 2003-03-24 CERTIFICATE OF INCORPORATION 2003-03-24

Date of last update: 11 Nov 2024

Sources: New York Secretary of State